Clinical Application of Different Surgical Methods in the Treatment of Dislocation of Shoulder Joint Combined with Fracture of Greater Tuberosity of Humerus / 沈阳医学院学报

ABSTRACT

Objective:To study the value of three surgical methods in the treatment of dislocation of shoulder joint combined with fracture of greater tuberosity of humerus. Methods: A total of 75 cases of shoulder joint combined with fracture of greater tuberosity of humerus in our hospital from Jul 2012 to Mar 2014 were randomly divided into 3 groups,each with 25 cases. Patients in group A received antero-lateral approach with absorption nail treatment, group B with antero-lateral approach with mini-plate treatment, and group C with anteriomedialis of shoulder approach with anatomy plate treatment. Clinical data in 3 groups were analyzed. Results: Incision length , operation time and intraoperative hemorrhage in group A and group B were not statistically significant (P>0.05), and compared with group C, incision length was smaller, operation time was shorter, intraoperative hemorrhage was less (P<0.05) .At 24 months after surgery, the incidence rate of subacromial impingement in group A and B was lower than that in group C (P<0.05) . There was no significant difference in fracture healing time between the three groups (P>0.05) .Conclusions:Antero-lateral approach is a simple method with less trauma. Absorbable screws and mini-plate can effectively fix fracture of greater tuberosity of humerus. The suitable surgical approach and internal-fixation should be selected according to fracture morphous.